TABITHA A HOLLINGSWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147085

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

Last Name

HOLLINGSWORTH

Business Name

TABITHA A HOLLINGSWORTH

Original Issue Date

02/18/2003

Effective Date

02/18/2003

Expiration Date

03/31/2005

City

NEW HAVEN

State

Zip

62867

County

GALLATIN

Ever Disciplined

LastModifiedDate

10/20/2005